Dental

What you need to know

The Plan offers dental benefits for active members and their covered dependents through the Plans’ Standard Dental Care Benefits and in partnership with Delta Dental of Wisconsin.

Highlights

You’ll pay lower, negotiated rates for dental services if you see a dental provider that is in-network. You may visit any provider you wish and receive some dental coverage; however, you will pay more to receive services from an out-of-network provider.

The Plan covers basic and major restorative services as well as routine cleaning twice per calendar year for you and your covered dependents. Refer to the charts below for a breakdown of what you’ll pay for dental services.

Plan A

Annual Deductible
Exams
Cleanings
Fillings
Orthodontic Services
In-Network
Individual: $0
Family: $0
$0
$0
20% coinsurance
20% coinsurance
Out-of-Network
Individual: $0
Family: $0
20% coinsurance
20% coinsurance
30% coinsurance
20% coinsurance

Plan B

Annual Deductible
Exams
Cleanings
Fillings
Orthodontic Services
In-Network
Individual: $0
Family: $0
20% coinsurance
20% coinsurance
20% coinsurance
20% coinsurance
Out-of-Network
Individual: $0
Family: $0
20% coinsurance
20% coinsurance
30% coinsurance
20% coinsurance

To find an in-network dental provider, visit Delta Dental of Wisconsin or call 800-236-3712.

New to the Fund?

To gain access to your benefits, you must first enroll in coverage for you and your dependents.

Contacts

Dental

Delta Dental of Wisconsin

800-236-3712
Website

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